Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Middletown Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with paranoid personality disorder, depression, and anxiety, and with intact cognition, was subjected to undignified and disrespectful communication by an LPN, contrary to the facility’s Resident Rights policy requiring kindness, respect, and dignity. A CNA reported that the LPN told the resident, who was noted to be weaker than before, that she had two hands and could pour her own water, and also referred to the resident as fat during shift report in a tone that could be heard by others. During an investigation into another matter, the ED learned that staff had overheard the LPN call the resident a fat a-s, while the LPN later stated the resident had called her the same term and that she discussed this with another CNA in the hallway.
The facility failed to maintain the stove hood in a clean manner, potentially affecting all 12 residents. Cobwebs and debris were observed on the hood during a kitchen tour with the DM. Dietary Aide 5 noted that an external company was responsible for cleaning, and it had been a couple of months since the last cleaning. The DM provided a service report from March as the last cleaning date but was unsure of the required frequency and confirmed no facility policy on stove hood cleaning.
The facility failed to implement enhanced barrier precautions (EBP) for three residents requiring them, including one with an indwelling urinary catheter and another with a gastrostomy tube. A CNA was unaware of EBP, and the DON confirmed the facility did not utilize it. Additionally, a piston syringe for a resident's gastrostomy tube was not dated, and no PPE was visible in the resident's room. The facility lacked a policy for EBP.
Failure to Ensure Dignified and Respectful Communication Toward a Resident
Penalty
Summary
The deficiency involves the facility’s failure to honor a resident’s rights to dignity and respectful communication when staff spoke to and about the resident in a rude and derogatory manner. A CNA reported that an LPN told her about an interaction in which the resident had requested the LPN to pour a cup of water, and the LPN responded that the resident had two hands and could do it herself, despite the CNA noting the resident was no longer as strong as she used to be. The CNA stated she perceived this response as really rude. The same CNA also reported witnessing the LPN refer to the resident as fat during a shift-change report, using a regular or louder-than-usual tone that could have been heard by others if they were nearby. During the facility’s investigation into a separate possible abuse situation, the Executive Director learned from staff that the LPN had been overheard calling the resident a fat a-s, with the exact date uncertain but believed to have occurred over a recent weekend when the LPN worked night shift. In a subsequent telephone interview, the LPN acknowledged that the resident had called her a fat ass on more than one occasion and stated that she and another CNA later discussed the resident’s comment quietly in the hallway. The resident’s record showed diagnoses including paranoid personality disorder, depression, and anxiety, with intact cognition and a care plan noting behavioral concerns such as making false accusations against staff and believing staff ignores or tries to hurt her. The facility’s Resident Rights policy required employees to treat all residents with kindness, respect, and dignity and to assist residents in exercising their rights, but the reported staff conduct toward this resident did not align with those standards.
Failure to Maintain Clean Stove Hood
Penalty
Summary
The facility failed to maintain the stove hood in a clean manner, which had the potential to affect all 12 residents. During a kitchen tour with the Dietary Manager (DM), cobwebs and fuzzy debris were observed on the stove hood, directly above the stove. Dietary Aide 5 mentioned that an external company was responsible for cleaning the hood, and it had been a couple of months since the last cleaning. The DM provided a service report from March, indicating the last cleaning date, but was unsure of the required cleaning frequency. Additionally, the DM confirmed there was no facility policy on stove hood cleaning, although they were due for a cleaning in the current month.
Failure to Implement Enhanced Barrier Precautions and Date Enteral Feeding Equipment
Penalty
Summary
The facility failed to implement enhanced barrier precautions (EBP) for three residents who required them. Resident 3, who had an indwelling urinary catheter, did not have EBP included in their care plan. A Certified Nursing Assistant (CNA) was unaware of EBP and only used gloves when providing care to residents with indwelling medical devices. The Director of Nursing (DON) confirmed that the facility did not currently utilize EBP. Resident 2, who required catheter care and pleural drain care, had no EBP signage or personal protective equipment (PPE) in or near their room. Resident 11, who had a gastrostomy tube, had a piston syringe that was not dated, and there was no PPE visible in their room. The DON verified the lack of dating on the syringe and the absence of PPE. The facility did not have a policy for EBP, as confirmed by a Registered Nurse (RN). The enteral nutrition policy indicated that staff should be trained on potential adverse effects of tube feeding, but there was no mention of EBP in the policy.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Middletown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Waters Of Middletown Skilled Nursing Facility, The | 0.7 mi | — | 10 | 0 |
| Waters Of Chesterfield Skilled Nursing Facility | 5 mi | — | 4 | 0 |
| Envive Of Anderson | 7.6 mi | — | 9 | 0 |
| Countryside Manor Health & Living Community | 7.8 mi | — | 20 | 0 |
| Bethany Pointe Health Campus | 8 mi | — | 4 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.